HomeMy WebLinkAboutReceipt Planner 8/24/2023SPRINGFIELD
OREGON
Transaction Receipt
Record ID: 811-23-000182-TYP4
IVR Number: 811045939164
Receipt Number: 490143
Receipt Date: 8/24/23
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Worksite address: 3575 GAME FARM RD, SPRINGFIELD, OR 97477
Parcel: 1703154001000
Transaction
date
8/24/23
Fees Paid
Account code
100-00000.425802-1039
units
Description
4.99 Acres
Type lV - Type l - Metro Plan
Amendment - special instruction Type
IV - City, per acre - enter # of
100 Es
Type M - Notice Fee
1.00 Automatic
.....................................................
Technology Fee
City of Springfield
Office: Not Applicable
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Fax: 541-726-3689
permitcenter@spd ngfield-or.gov
Fee amounit
$32,403.00
100-00000.425002-1039 $691.00
2114-00000.425605-0000 $1,620.15
...........................................
Paid amount
$32,394.77
Payment Method: Check number: Payer: PeaceHealth Payment Amount: $34,705.51
9242921
Transaction Canment: Peacelleabh
1115 SE 164th Ave. Stile 332
Vanccuyer, WA 98683
Cashier: Shannon Morris Receipt Total: $34,705.51
Rolled: 812G23 922. Pape 1 of 1 FIN TranssceonRecaplyr
SPRINGFIELD
OREGON
Transaction Receipt
Record ID: 811-23-000182-TYP4
IVR Number: 811045939164
Receipt Number: 489942
Receipt Date: 8/9/23
hftpl rvcspringfield-or.govltlpwlCurrentDevsiopmentDlVis on, hi
Worksite address: 3575 GAME FARM RD, SPRINGFIELD, OR 97477
Parcel: 1703154001000
Transaction
date
a19f23
Fees Paid
urns Description Aceoum code
4.99 Acres Type IV - Type l - Metro Plan 100-00000.425802-1039
Amendment - special instruction Type
IV - City, per acre - enter # of
100 Automatic Technology Fee
2114-00000.425605-0000
City of Springfield
Office: Not Applicable
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Fax: 541-726-3689
permitcenter@spd ngfield-or.gov
Fee amoum Paid amoum
$32,403.00 $8.23
$1,620.15 $0.41
Payment Method: Fee Waiver Payer: Fee Adjustment for Fee Waived Amount: $8.64
Accela miscalculation
Transaction Canment: Fee Adjustment for Accela miscalculation
Cashier. Kelly Notary Receipt Total: $8.64
Parti M123 3:39 is. Pagel oft FIN Transaction Receiptyr